{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T22:42:40Z","timestamp":1787956960360,"version":"build-2784847793"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T00:00:00Z","timestamp":1537228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["F31NR014952"],"award-info":[{"award-number":["F31NR014952"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Experimental Allergy"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Accurate symptom assessment remains challenging in teen populations. Little is known of usual symptom\/response patterns, and self\u2010reported paper diaries have traditionally low compliance rates. Therefore, we used concurrent digital voice diaries to capture daily asthma experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>(a) To qualitatively explore usual symptom patterns and self\u2010management responses and (b) to quantitatively explore relationships between symptom severity and sentiment scores (a marker of emotional response to events).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fourteen minority and nonminority teenagers (age 13\u201017) with controlled (50%) and uncontrolled asthma used digital recorders to report about their asthma once daily over 14\u00a0days. Dairy entries were coded for symptom frequency, severity, type, and self\u2010management responses, while sentiment analysis was used to evaluate the emotional valence of diary entries and to explore whether increased symptom levels correlated with greater negative sentiment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Symptom frequency and severity recorded in voice diaries were much higher than teens indicated at baseline and were discordant with clinical assessments of asthma control. Of 175 entries, teens had symptoms 69.1% of days (121\/175) and severe symptoms on one\u2010third of these. Atypical symptoms (coughing, throat clearing) were reported twice as often as traditional symptoms (wheezing, chest tightness) and often not recognized as asthma, but rather attributed to being \u201csick\u201d (25.6% of symptom days). Teens frequently minimized symptoms, used rescue and controller medication inconsistently, and resorted to alternative strategies to manage symptoms. Sentiment was not significantly correlated with assessed control (\u03b2\u00a0=\u00a00.14, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.28), but for teens reporting severe symptoms, sentiment scores decreased by 0.31 relative to teens without symptoms (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.006).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Clinical Relevance<\/jats:title><jats:p>Teens may minimize symptoms and have greater symptom frequency and severity than is recognized by themselves or providers. Screening for specific symptoms including coughing, throat clearing, and respiratory illness may be needed to identify those experiencing burden from asthma.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cea.13250","type":"journal-article","created":{"date-parts":[[2018,8,16]],"date-time":"2018-08-16T13:44:54Z","timestamp":1534427094000},"page":"299-307","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Mixed\u2010methods content and sentiment analysis of adolescents\u2019 voice diaries describing daily experiences with asthma and self\u2010management decision\u2010making"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7858-9183","authenticated-orcid":false,"given":"Jennifer R.","family":"Mammen","sequence":"first","affiliation":[{"name":"University of Rhode Island College of Nursing Kingston Rhode Island"},{"name":"University of Rochester School of Nursing Rochester New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James J.","family":"Java","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Computational Biology University of Rochester Rochester New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7039-3215","authenticated-orcid":false,"given":"Hyekyun","family":"Rhee","sequence":"additional","affiliation":[{"name":"University of Rochester School of Nursing Rochester New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlene M.","family":"Butz","sequence":"additional","affiliation":[{"name":"School of Medicine Johns Hopkins University Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill S.","family":"Halterman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Rochester School of Medicine Rochester New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Arcoleo","sequence":"additional","affiliation":[{"name":"University of Rochester School of Nursing Rochester New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,18]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Asthma care quick reference","author":"National Heart Lung and Blood Institutes [NHLBI]","year":"2011"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04948.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2016.03.009"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2009.10.003"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4975"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/02770901003692793"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2011.12.981"},{"key":"e_1_2_8_9_1","first-page":"CD011584","article-title":"Pulse oximeters to self monitor oxygen saturation levels as part of a personalised asthma action plan for people with asthma","volume":"9","author":"Welsh EJ","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_10_1","first-page":"CD011714","article-title":"Home telemonitoring and remote feedback between clinic visits for asthma","volume":"8","author":"Kew KM","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.13141"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2011.01.034"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2016.1201835"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2017.1418888"},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","unstructured":"LiuB.Sentiment analysis and opinion mining. Synthesis lectures on human language technologies [Internet].2012;5(1):1\u2010167. Available from:https:\/\/doi.org\/10.2200\/s00416ed1v01y201204hlt016.","DOI":"10.2200\/S00416ED1V01Y201204HLT016"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.01.098"},{"key":"e_1_2_8_17_1","volume-title":"Expert Panel\u00a0Report 3: guidelines for the diagnosis and management of asthma","author":"National Heart Lung Blood Institues [NHLBI]","year":"2007"},{"key":"e_1_2_8_18_1","volume-title":"The Coding Manual for Qualitative Researchers","author":"Salda\u00f1a J","year":"2013"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_8_20_1","unstructured":"Cleveland Clinic.Asthma Symptoms Cleveland OH2017. Available from:https:\/\/my.clevelandclinic.org\/health\/articles\/symptoms-of-asthma."},{"key":"e_1_2_8_21_1","doi-asserted-by":"crossref","DOI":"10.1201\/9781420085938","volume-title":"Handbook of Natural Language Processing","author":"Indurkhya N","year":"2010"},{"key":"e_1_2_8_22_1","unstructured":"US Department of Housing and Urban Development [US DoHUD].Uniform Act or URA \u2010 FY 2011 Low Income Limits State of NY 2015. Available from:https:\/\/www.huduser.gov\/datasets\/ura\/ura15\/FY2015_URA_ny.pdf."},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13223-017-0196-7"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770900802126974"},{"issue":"326","key":"e_1_2_8_25_1","first-page":"324","article-title":"The health belief model and personal health behavior","volume":"2","author":"Becker M.H","year":"1977","journal-title":"Health Educ Quart"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2160-z"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2013.04.009"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S53504"},{"key":"e_1_2_8_29_1","volume-title":"The common cold in adults: diagnosis and clinical features","author":"Sexton D","year":"2017"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1086\/528803"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23556"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0080633"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.3109\/02770903.2014.979366"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.17485\/ijst\/2018\/v11i4\/119594"},{"key":"e_1_2_8_35_1","volume-title":"Depressive moods of users portrayed in twitter","author":"Park M","year":"2012"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2017.0119"},{"key":"e_1_2_8_37_1","unstructured":"JuniperEF.Asthma Control Questionnaire: background administration and analysis. In: QOL Technologies editor. 2004."},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.115.5.1265"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2004.05.009"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2015.07.008"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2413"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0197-2456(02)00320-3"}],"container-title":["Clinical &amp; Experimental Allergy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcea.13250","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cea.13250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T17:47:29Z","timestamp":1694281649000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cea.13250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,18]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/cea.13250"],"URL":"https:\/\/doi.org\/10.1111\/cea.13250","archive":["Portico"],"relation":{},"ISSN":["0954-7894","1365-2222"],"issn-type":[{"value":"0954-7894","type":"print"},{"value":"1365-2222","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,18]]},"assertion":[{"value":"2018-04-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}